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Hereditary Cancer Risk Assessment Patient Name:___Physician/Provider Name:___Date of Birth:___Todays Date:___Instructions: This is a screening tool for the common features of hereditary cancer syndromes.
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How to fill out hereditary cancer risk assessment

How to fill out hereditary cancer risk assessment
01
Get a copy of your family medical history, including any cancer diagnoses and ages of diagnosis.
02
Schedule an appointment with a genetic counselor or healthcare provider who specializes in genetic testing for cancer.
03
Discuss your family history and personal medical history with the genetic counselor.
04
Undergo genetic testing if recommended by the counselor.
05
Receive personalized risk assessment and recommendations for risk reduction strategies.
Who needs hereditary cancer risk assessment?
01
Individuals with a family history of cancer, especially if multiple relatives have been diagnosed at a young age.
02
Those with a personal history of multiple cancers or rare cancers.
03
People of certain ethnic backgrounds known to have higher rates of hereditary cancers.
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What is hereditary cancer risk assessment?
Hereditary cancer risk assessment is a process used to evaluate an individual's risk of developing cancer based on their family history, genetic factors, and other relevant health information.
Who is required to file hereditary cancer risk assessment?
Individuals with a significant family history of cancer or those who have been referred by a healthcare professional for genetic testing are typically required to file a hereditary cancer risk assessment.
How to fill out hereditary cancer risk assessment?
Filling out a hereditary cancer risk assessment involves providing detailed information about personal health history, family cancer history, and may require answering specific questions related to genetic factors.
What is the purpose of hereditary cancer risk assessment?
The purpose of hereditary cancer risk assessment is to identify individuals at high risk for hereditary cancers, guide screening recommendations, inform treatment options, and promote preventive measures.
What information must be reported on hereditary cancer risk assessment?
Information that must be reported includes personal medical history, family members diagnosed with cancer, ages at diagnosis, and any relevant genetic testing results.
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